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Organization

EVERLASTING MEMORIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLI YVONNE THOMPSON (OWNER)
(218) 429-0140
Entity
Organization

Contact information

Practice address
13 4TH AVE SE, AITKIN, MN 56431-1715
(218) 429-0140
Mailing address
13 4TH AVE SE, AITKIN, MN 56431-1715

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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